NPI Code Details Logo

NPI 1174199145

NPI 1174199145 : TERESA ANN MENDEZ APRN : CHATTANOOGA, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1174199145
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    TERESA ANN MENDEZ APRN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/01/2021
-----------------------------------------------------
    Last Update Date     |    12/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2525 DESALES AVE STE F1009 
-----------------------------------------------------
    City                 |    CHATTANOOGA
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37404-1161
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-697-2000
-----------------------------------------------------
    Fax                  |    423-697-2320
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2525 DESALES AVE STE F1009 
-----------------------------------------------------
    City                 |    CHATTANOOGA
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37404-1161
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-697-2000
-----------------------------------------------------
    Fax                  |    423-697-2320
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LA2100X
-----------------------------------------------------
    Taxonomy Name        |    Acute Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    GAA-NP000074
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Nurse Practitioner
-----------------------------------------------------
    License Number       |    GAA-NP000074
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    GAA-NP000074
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363LA2200X
-----------------------------------------------------
    Taxonomy Name        |    Adult Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    GAA-NP000074
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    363LC0200X
-----------------------------------------------------
    Taxonomy Name        |    Critical Care Medicine Nurse Practitioner
-----------------------------------------------------
    License Number       |    GAA-NP000074
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    363LA2100X
-----------------------------------------------------
    Taxonomy Name        |    Acute Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    028519
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.